| NPI | 1073935193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HENRY Counselor 253-394-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60300442) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |